Multidisciplinary intervention in obese adolescents: predictors of dropout
Objective To identify biological and psychosocial factors associated with dropout in a multidisciplinary behavioral intervention in obese adolescents.Methods A total of 183 adolescents (15.4±1.6 years), pubertal (Tanner stage 3 or 4) and obese (34.7±4.0kg/m2), were enrolled in a 12-week behavioral intervention, which included clinical consultations (monthly), nutritional and psychological counseling (once a week), and supervised aerobic training (three times/week). The studied variables were weight, height, body mass index, body composition (skinfold), cardiorespiratory fitness (direct gas analysis), blood lipids and self-reported symptoms of eating disorders (bulimia, anorexia and binge eating), anxiety, depression, body image dissatisfaction and quality of life. Statistical analysis included binary logistic regression and independent t-tests.Results Of the adolescents, 73.7% adhered to the program. The greatest chance for dropout was observed among adolescents older than 15 years (odds ratio of 0.40; 95%CI: 0.15-0.98), with more anorexia symptoms (odds ratio of 0.35; 95%CI: 0.14-0.86) and hypercholesterolemia (odds ratio of 0.40; 95%CI: 0.16-0.91) at baseline.Conclusion Older adolescents, with more symptoms of eating disorders and total cholesterol have less chance to adhere to multidisciplinary treatments.
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2015
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oai:scielo:S1679-450820150003003882015-10-13Multidisciplinary intervention in obese adolescents: predictors of dropoutFidelix,Yara LucyFarias Júnior,José Cazuza deLofrano-Prado,Mara CristinaGuerra,Ricardo Luís FernandesCardel,MichellePrado,Wagner Luiz do Patient dropouts Adiposity Lipids Quality of life Eating disorders Adolescent Objective To identify biological and psychosocial factors associated with dropout in a multidisciplinary behavioral intervention in obese adolescents.Methods A total of 183 adolescents (15.4±1.6 years), pubertal (Tanner stage 3 or 4) and obese (34.7±4.0kg/m2), were enrolled in a 12-week behavioral intervention, which included clinical consultations (monthly), nutritional and psychological counseling (once a week), and supervised aerobic training (three times/week). The studied variables were weight, height, body mass index, body composition (skinfold), cardiorespiratory fitness (direct gas analysis), blood lipids and self-reported symptoms of eating disorders (bulimia, anorexia and binge eating), anxiety, depression, body image dissatisfaction and quality of life. Statistical analysis included binary logistic regression and independent t-tests.Results Of the adolescents, 73.7% adhered to the program. The greatest chance for dropout was observed among adolescents older than 15 years (odds ratio of 0.40; 95%CI: 0.15-0.98), with more anorexia symptoms (odds ratio of 0.35; 95%CI: 0.14-0.86) and hypercholesterolemia (odds ratio of 0.40; 95%CI: 0.16-0.91) at baseline.Conclusion Older adolescents, with more symptoms of eating disorders and total cholesterol have less chance to adhere to multidisciplinary treatments.info:eu-repo/semantics/openAccessInstituto Israelita de Ensino e Pesquisa Albert Einsteineinstein (São Paulo) v.13 n.3 20152015-09-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000300388en10.1590/S1679-45082015AO3339 |
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Fidelix,Yara Lucy Farias Júnior,José Cazuza de Lofrano-Prado,Mara Cristina Guerra,Ricardo Luís Fernandes Cardel,Michelle Prado,Wagner Luiz do |
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Fidelix,Yara Lucy Farias Júnior,José Cazuza de Lofrano-Prado,Mara Cristina Guerra,Ricardo Luís Fernandes Cardel,Michelle Prado,Wagner Luiz do Multidisciplinary intervention in obese adolescents: predictors of dropout |
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Fidelix,Yara Lucy Farias Júnior,José Cazuza de Lofrano-Prado,Mara Cristina Guerra,Ricardo Luís Fernandes Cardel,Michelle Prado,Wagner Luiz do |
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Fidelix,Yara Lucy |
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Multidisciplinary intervention in obese adolescents: predictors of dropout |
title_short |
Multidisciplinary intervention in obese adolescents: predictors of dropout |
title_full |
Multidisciplinary intervention in obese adolescents: predictors of dropout |
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Multidisciplinary intervention in obese adolescents: predictors of dropout |
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Multidisciplinary intervention in obese adolescents: predictors of dropout |
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multidisciplinary intervention in obese adolescents: predictors of dropout |
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Objective To identify biological and psychosocial factors associated with dropout in a multidisciplinary behavioral intervention in obese adolescents.Methods A total of 183 adolescents (15.4±1.6 years), pubertal (Tanner stage 3 or 4) and obese (34.7±4.0kg/m2), were enrolled in a 12-week behavioral intervention, which included clinical consultations (monthly), nutritional and psychological counseling (once a week), and supervised aerobic training (three times/week). The studied variables were weight, height, body mass index, body composition (skinfold), cardiorespiratory fitness (direct gas analysis), blood lipids and self-reported symptoms of eating disorders (bulimia, anorexia and binge eating), anxiety, depression, body image dissatisfaction and quality of life. Statistical analysis included binary logistic regression and independent t-tests.Results Of the adolescents, 73.7% adhered to the program. The greatest chance for dropout was observed among adolescents older than 15 years (odds ratio of 0.40; 95%CI: 0.15-0.98), with more anorexia symptoms (odds ratio of 0.35; 95%CI: 0.14-0.86) and hypercholesterolemia (odds ratio of 0.40; 95%CI: 0.16-0.91) at baseline.Conclusion Older adolescents, with more symptoms of eating disorders and total cholesterol have less chance to adhere to multidisciplinary treatments. |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein |
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2015 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000300388 |
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